Partogram - Time for New Words for the New World!
Journal Title: Indian Obstetrics & Gynaecology - Year 2016, Vol 6, Issue 4
Abstract
The partograph is a graphical record of cervical dilatation and provides a pictorial overview of progress of labour. It was invented as tool for alerting midwives and birth attendants after studying normal labour in large number of women by Friedman. The WHO has recommended its universal usage based on its unmatched ability to detect abnormal labour. But it is still underutilized in developing countries, more so in primary health care centers, where it is needed the most. Various trials done in developed countries and resource rich settngs have failed to show significant benefit of using partograph. Rather it was thought to limit the obstetrician's individuality. Much has changed in labour management protocols since partograph came into existence in 1954. Latest ACOG guidelines have redefined onset of active stage of labour, abnormal labour and arrest of labour. It is a high time to incorporate the newer recommendations and update partogram in the light of current recommendations to retain its glory as a useful obstetric tool.
Authors and Affiliations
Sandhya Jain, Dr. Swati Sharma
Keywords
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